CHRNB4 — 62 ClinVar variants
All ClinVar germline CHRNB4 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 50 flagged for review →
1 Pathogenic · 2 Likely pathogenic · 8 Benign · 8 Likely benign · 43 Uncertain significance
Full CHRNB4 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions⚑ Evidence disagreements 50
Variants where the independent computational evidence doesn't line up with the clinical picture — a QC signal for a second look, not a reclassification.
Predictors vs ClinVar 2
ClinVar calls these pathogenic, but the computational predictors lean tolerated — the highest-value review flag.
-
CHRNB4 p.Val220Met
Likely pathogenic
No assertion criteria
frontotemporal dementia
-
CHRNB4 p.Val471Leu
Pathogenic
No assertion criteria
chronic obstructive pulmonary disease
Predictors lean, ClinVar uncertain 24
ClinVar classifies these uncertain (VUS), but the independent predictors unanimously lean one way — a triage signal for review, not a reclassification.
- CHRNB4 p.Ala14Val Uncertain significance Single submitter
- CHRNB4 p.Ala393Thr Uncertain significance Single submitter
- CHRNB4 p.Ala395Thr Uncertain significance Single submitter
- CHRNB4 p.Ala495Pro Uncertain significance Single submitter
-
CHRNB4 p.Arg39Leu
Uncertain significance
Single submitter
amyotrophic lateral sclerosis
- CHRNB4 p.Arg45His Uncertain significance Single submitter
- CHRNB4 p.Arg96Leu Uncertain significance Single submitter
- CHRNB4 p.Gln496His Uncertain significance Single submitter
- CHRNB4 p.Gly139Ser Uncertain significance Single submitter
- CHRNB4 p.Gly17Arg Uncertain significance Single submitter
- CHRNB4 p.Gly261Asp Uncertain significance Single submitter
- CHRNB4 p.His486Arg Uncertain significance Single submitter
- CHRNB4 p.His486Leu Uncertain significance Single submitter
- CHRNB4 p.Ile134Met Uncertain significance Single submitter
- CHRNB4 p.Ile237Val Uncertain significance Single submitter
- CHRNB4 p.Leu341Gln Uncertain significance Single submitter
- CHRNB4 p.Met467Thr Uncertain significance Single submitter
- CHRNB4 p.Phe160Leu Uncertain significance Single submitter
- CHRNB4 p.Phe254Val Uncertain significance Single submitter
- CHRNB4 p.Pro492Ser Uncertain significance Single submitter
- CHRNB4 p.Ser417Pro Uncertain significance Single submitter
- CHRNB4 p.Thr38Ala Uncertain significance Single submitter
- CHRNB4 p.Trp413Cys Uncertain significance Single submitter
- CHRNB4 p.Val471Ile Uncertain significance Single submitter
Predictors split 24
The independent predictors disagree with each other — read with care.
- CHRNB4 p.Asn41Ser Benign Multiple submitters
- CHRNB4 p.Thr375Ile Benign Multiple submitters
- CHRNB4 p.Ala14Asp Uncertain significance Single submitter
-
CHRNB4 p.Ala435Val
Benign
Single submitter
amyotrophic lateral sclerosis
- CHRNB4 p.Arg172His Uncertain significance Single submitter
- CHRNB4 p.Arg349Cys Likely benign Single submitter
- CHRNB4 p.Arg415Trp Uncertain significance Single submitter
- CHRNB4 p.Asn318Ser Uncertain significance Single submitter
- CHRNB4 p.Asn42Asp Uncertain significance Single submitter
- CHRNB4 p.His437Tyr Uncertain significance Single submitter
- CHRNB4 p.Ile203Met Uncertain significance Single submitter
- CHRNB4 p.Ile227Thr Uncertain significance Single submitter
- CHRNB4 p.Ile310Val Uncertain significance Single submitter
- CHRNB4 p.Met300Val Uncertain significance Single submitter
- CHRNB4 p.Met303Val Uncertain significance Single submitter
- CHRNB4 p.Met329Val Uncertain significance Single submitter
- CHRNB4 p.Pro197Ser Uncertain significance Single submitter
- CHRNB4 p.Pro405Leu Uncertain significance Single submitter
- CHRNB4 p.Ser198Asn Uncertain significance Single submitter
- CHRNB4 p.Ser67Ile Uncertain significance Single submitter
- CHRNB4 p.Val141Ile Likely benign Single submitter
- CHRNB4 p.Val304Leu Uncertain significance Single submitter
- CHRNB4 p.Val68Met Uncertain significance Single submitter
-
CHRNB4 p.Thr187Met
Likely benign
No assertion criteria
EBV-positive nodal T- and NK-cell lymphoma
All CHRNB4 variants
Pathogenic 1
- p.Val471Leu No assertion criteria chronic obstructive pulmonary disease ⚠
Likely pathogenic 2
- p.Leu60Phe No assertion criteria frontotemporal dementia
- p.Val220Met No assertion criteria frontotemporal dementia ⚠
Benign 8
- c.*76T>C Multiple submitters
- p.Asn41Ser Multiple submitters ⚠
- p.Ile240= Multiple submitters
- p.Thr375Ile Multiple submitters ⚠
- p.Ala435Val Single submitter amyotrophic lateral sclerosis ⚠
- p.Asn166Lys Single submitter amyotrophic lateral sclerosis
- p.Pro356= Single submitter
- p.Ser323= Single submitter
Likely benign 8
- p.Arg349Cys Single submitter ⚠
- p.Arg497His Single submitter
- p.Asn120= Single submitter
- p.Pro356Leu Single submitter
- p.Pro379Ser Single submitter
- p.Pro481= Single submitter
- p.Val141Ile Single submitter ⚠
- p.Thr187Met No assertion criteria EBV-positive nodal T- and NK-cell lymphoma ⚠
Uncertain significance 43
- c.*319_*320delinsAT Single submitter lung adenocarcinoma
- p.Ala14Asp Single submitter ⚠
- p.Ala14Val Single submitter ⚠
- p.Ala393Thr Single submitter ⚠
- p.Ala395Thr Single submitter ⚠
- p.Ala495Pro Single submitter ⚠
- p.Arg172His Single submitter ⚠
- p.Arg39Leu Single submitter amyotrophic lateral sclerosis ⚠
- p.Arg415Trp Single submitter ⚠
- p.Arg45His Single submitter ⚠
- p.Arg96Leu Single submitter ⚠
- p.Asn318Ser Single submitter ⚠
- p.Asn42Asp Single submitter ⚠
- p.Gln496His Single submitter ⚠
- p.Gly139Ser Single submitter ⚠
- p.Gly17Arg Single submitter ⚠
- p.Gly261Asp Single submitter ⚠
- p.His437Tyr Single submitter ⚠
- p.His486Arg Single submitter ⚠
- p.His486Leu Single submitter ⚠
- p.Ile134Met Single submitter ⚠
- p.Ile203Met Single submitter ⚠
- p.Ile227Thr Single submitter ⚠
- p.Ile237Val Single submitter ⚠
- p.Ile310Val Single submitter ⚠
- p.Leu341Gln Single submitter ⚠
- p.Met300Val Single submitter ⚠
- p.Met303Val Single submitter ⚠
- p.Met329Val Single submitter ⚠
- p.Met467Thr Single submitter ⚠
- p.Phe160Leu Single submitter ⚠
- p.Phe254Val Single submitter ⚠
- p.Pro197Ser Single submitter ⚠
- p.Pro405Leu Single submitter ⚠
- p.Pro492Ser Single submitter ⚠
- p.Ser198Asn Single submitter ⚠
- p.Ser417Pro Single submitter ⚠
- p.Ser67Ile Single submitter ⚠
- p.Thr38Ala Single submitter ⚠
- p.Trp413Cys Single submitter ⚠
- p.Val304Leu Single submitter ⚠
- p.Val471Ile Single submitter ⚠
- p.Val68Met Single submitter ⚠